Just had annual physical and looking at bloodwork trying to navigate good cop / bad cop cholesterol levels.

Total Cholesterol 175
HDL = 78
LDL = 80
Triglycerides = 85

A quick check of a website suggests these numbers are pretty danged good. I know there are some knowledgeable folk on this board on this topic... am I going to die?

I eat fatty foods, try not to overindulge on sugar and starch, drink more than is healthy, eat junk food and exercise only by climbing and hiking. I live on the road and eat all sorts of food from junk to French Death to sushi, on a regular basis.

I never bought into the low-fat dietary regime - it made no sense and given my numbers continues to make no sense. Eating fat doesn't make you fat (sugar, does). But I have worried about ldl - this seems to suggest I don't need to worry much in that regard?

Just don't tell me I have to stop drinking... its all I've got left! :-)

You and I are in the same ballpark. My doctor said that they pay less attention to the overall numbers and more to the individual ones these days. I'm with your thinking. Some of us are wired differently. One size does not fit all. I think you are doing fine, but what do I know. :-)

You're doing okay. Wish my triglycerides were that low and I'm on crestor.

Cholesterol Guidelines
National Cholesterol Education Program (NCEP) guidelines recommend that all adults over age 20 have a cholesterol test at least once every 5 years. Take a look at the guidelines below to get a better idea of where your cholesterol levels should be.
Total cholesterol level
Less than 200 mg/dL Desirable
200-239 mg/dL Borderline high
240 mg/dL or higher High

Total cholesterol is based on your LDL cholesterol and HDL cholesterol counts. Generally, a lower cholesterol level is better.
LDL
Less than 100 mg/dL Optimal
100-129 mg/dL Optimal/borderline high

130-159 mg/dL Borderline high
160-189 mg/dL High
190 mg/dL or higher Very high

LDL is considered the “bad” cholesterol because if you have too much LDL in your bloodstream, it can lead to the buildup of plaque in your arteries over time, known as atherosclerosis. Generally a lower LDL cholesterol level is better.
HDL
60 mg/dL or higher High
Less than 40 mg/dL Low

HDL is considered the "good" cholesterol because it helps return cholesterol to the liver, where it can be eliminated from the body. Generally, a higher HDL cholesterol level is better.

Triglycerides
Less than 150 mg/dL Normal
150-199 mg/dL Borderline high
200-499 mg/dL High
500 mg/dL or higher Very high

Triglycerides, like cholesterol, are another substance that can be dangerous to your health. Like LDL, you want to keep your triglycerides low.
Source: National Cholesterol Education Program (NCEP)

Example: Would an hdl of 80 be GREAT? (normal range: 40 -60) 100 even better still?

.....

"Researchers found that 54.6 percent of patients had HDL levels below 40 mg/dL. Developing more effective treatments to boost HDL levels may help reduce the number of patients hospitalized for heart attacks, according to the authors."

I've tried several things now over several blood draws to get my hdl up. Nothing seems to work. Stuck at 38 or so.

I try to see the silver lining. If I do have an "event" I'll probably be doing something aerobic - like a hard lead in the sierra. Also, I won't be posting here anymore.

Athletes who abuse testosterone and other androgenic steroids have a sharply increased risk of high blood pressure, heart attack, and stroke. And in high doses, testosterone can have a negative effect on cardiac risk factors, including HDL (“good”) cholesterol levels.

HFCS, supposedly, higher HDL numbers are better. But, there are are several populations in the world with very low HDL numbers who have very few heart attacks, such as the traditional Okinawan, rural chinese, etc.

I've also read that using drugs to raise hdl or lower ldl and total cholesterol have little effect on total mortality. They make your numbers look better, but the end result is not as good.

One of the great mysteries of cardiology is the fact that 50% of people with coronary artery disease have blood cholesterol levels similar to those of people who do not develop the disease. In fact, a recently published study of over 17,000 people with low LDL cholesterol levels showed that a surprising number of them still developed heart disease. In other words, the majority of people at risk of having a heart attack may be unaware of this risk and may not be taking appropriate preventative action. The stories of people surprised by sudden heart attacks are becoming more common and it is perplexing that these patients had not been identified as at risk for heart disease. Obviously, today's routine cholesterol tests are failing to identify the majority of people who are at risk for heart attacks. The limited focus of these tests on "good" and "bad" cholesterol is simply not good enough when it comes to identifying individuals at risk.

Interestingly, further evidence of how best-practice procedures in medicine are prone to change; it is now no longer considered necessary to fast before having lipid measurement done.

this is driving me crazy. i got high levels two years ago, the first time in my life. i've been trying to bring it down, and i can't. they want me to take their drugs, whatzzimacallem. i take fish oil, krill oil, not bringing it down. i eat well, exercise perhaps not quite enough but not too bad, no junk food, mostly red wine in the drinks department. i figure it's a product of aging. when i was a young buck like you, dingus, i had those numbers to be proud of.

so the half-educated nurse who administers cases like this says there's a nine percent chance of having a major cardiac event in the next ten years. i'm now 65, and most males in my family, both sides, have had these cardiac events by the time they're 75, at which adios amigos. so, doing the math, all other things being equal, i have a 73 percent chance of reaching age 95, no?

One thing that can whack out cholesterol levels is thyroid problems. At the time I was diagnosed as hypothyroid, my cholesterol was above 300 (way more than it had ever been or has been since starting synthetic thyroid hormone).

Yer gonna die. But, I also eat junk food exclusively and have low cholesterol levels and we're probably about the same age. If you climb regularly you're in better shape than 99% of your neighbors. That's what I attribute my good health to.

Stress is a much bigger factor, both external and, in particular, self-imposed. Self-imposed stress is a function of personality type, such as perfectionism, narcissism, and repressed rage. If you combine those three with constantly drinking alcohol, you're looking for health problems sooner or later.